KELLIE KING (PMHNP-BC) – Nurse Practitioner, NPI 1568946150

KELLIE KING (PMHNP-BC) is a healthcare provider. based in Hinesville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 280313 (GA). The NPI Number for KELLIE KING (PMHNP-BC) is 1568946150

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KELLIE KING (PMHNP-BC)
NPI
1568946150
Phone
(912) 785-2100
Address
508 N MAIN ST STE A
Enumeration Date
19 September 2018
Last Update Date
23 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9122082055
Graduation Year
2017 (9 years ago)
PAC ID
2062756562
Professional Enrollment ID
I20181211001639
Address ID
GA315486262KI130XXRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for KELLIE KING (PMHNP-BC)

  • 508 N MAIN ST STE A

    HINESVILLE, GA 313132570

    Phone: (912) 785-2100

    Fax: (844) 740-0009

    Type: Mailing

  • 605 OSBORNE ST

    SAINT MARYS, GA 315588410

    Phone: (912) 825-8488

    Fax: (912) 341-6794

    Type: Mailing

  • 88 LINDSEY LN STE C

    SAINT MARYS, GA 315581725

    Phone: (912) 825-8488

    Fax: (912) 341-6794

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2024-05-29 • Largest payer in this snapshot: IRONSHORE PHARMACEUTICALS INC. ($24).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181211001639INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90833Psychotherapy with evaluation and management visit, 30 minutes14023$0
99214Established patient office or other outpatient visit, 30-39 minutes11223$0
90837Psychotherapy, 1 hour7212$0
99213Established patient office or other outpatient visit, 20-29 minutes3218$0
View full utilization report →

Insurance plans in this area (ZIP 31313)

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Reviews

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Frequently asked questions

How do payers reference KELLIE KING (PMHNP-BC)?
For KELLIE KING (PMHNP-BC), use NPI 1568946150 as the unique 10-digit identifier.
Is there an active status for KELLIE KING (PMHNP-BC)?
For scheduling context, KELLIE KING (PMHNP-BC) is shown as active in the registry.
What clinical focus is listed for KELLIE KING (PMHNP-BC)?
At a glance, KELLIE KING (PMHNP-BC) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KELLIE KING (PMHNP-BC) associated with Hinesville?
Public fields place KELLIE KING (PMHNP-BC) around Hinesville, Georgia. Always confirm the exact site before visiting.
Does KELLIE KING (PMHNP-BC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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